NIMESH J PATHAK (NPI# 1396904975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396904975 |
| Entity Type | Individual |
| Full Name | NIMESH J PATHAK |
| Credential | M.D. |
| Practice Address |
5175 E Pacific Coast Hwy Suite 102 Long Beach CA 90804-3317 |
| Practice Telephone | 5624312748 |
| Practice Fax Number | 5623722582 |
| Mailing Telephone | 5624312748 |
| Mailing Fax Number | 5623722582 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2016-08-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A113231 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5175 E PACIFIC COAST HWY SUITE 102 |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90804-3317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255378006 | Julianna M Lyell | Psychologist | 5175 E Pacific Coast Hwy, Suite 304, Long Beach, CA 90804-3317 | 2006-06-01 |
| 1770020083 | Andrijana Jevtic Pitruzzello | Chiropractor | 5175 E Pacific Coast Hwy, Suite 106, Long Beach, CA 90804-3317 | 2017-01-24 |
| 1578917175 | Nimesh Jitendra Pathak Md Inc | Ophthalmology | 5175 E Pacific Coast Hwy, 102, Long Beach, CA 90804-3317 | 2016-04-20 |
| 1922480052 | Goel & Cohen Dental Corporation | Dentist | 5175 E Pacific Coast Hwy, 302, Long Beach, CA 90804-3317 | 2015-06-25 |
| 1780958751 | William Albert Grella Jr. | Dentist | 5175 E Pacific Coast Hwy, 201, Long Beach, CA 90804-3317 | 2012-03-08 |
| 1568663946 | Mitra Ahrar | Dentist | 5175 E Pacific Coast Hwy, Suite 405, Long Beach, CA 90804-3317 | 2007-05-31 |
| 1942332556 | John Aivaz | Dentist | 5175 E Pacific Coast Hwy, 405, Long Beach, CA 90804-3317 | 2007-03-09 |
| 1104981166 | Lynn A. Gardiner | Marriage & Family Therapist | 5175 E Pacific Coast Hwy, Suite 304, Long Beach, CA 90804-3317 | 2006-12-27 |
| 1235227836 | William John Worden | Dentist | 5175 E Pacific Coast Hwy, Suite#204, Long Beach, CA 90804-3317 | 2006-10-10 |
| 1487758561 | Elizabeth Susana Pollak | Dentist | 5175 E Pacific Coast Hwy, #203, Long Beach, CA 90804-3317 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1700436094 | Magdalema Ballesteros-reynolds | Technician | 844 Ohio Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1093365447 | Edelmira D Sanchez | Technician | 837 Bennett Ave, Long Beach, CA 90804 | 2019-09-18 |
| 1164980165 | Carlton Fortenberry | Behavior Technician | 775 Obispo Ave., Unit 1, Long Beach, CA 90804 | 2019-03-08 |
| 1427522812 | Western Dental Services, Inc. | Dentist | 2306 E 7th Street, Long Beach, CA 90804 | 2019-01-18 |
| 1124557657 | Keav Siv Khov | Social Worker | 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 | 2017-06-08 |
| 1265966576 | Kensie Hoag | Social Worker | 4510 E PCh, Suite 305, Long Beach, CA 90804 | 2017-04-13 |
| 1528424389 | Rem Pacific Sleep Center, Inc. | Specialist/Technologist | 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 | 2016-01-10 |
| 1417326935 | Kelli Ann Carlson | Student in an Organized Health Care Education/Training Program | 2025 E. 7th Street, Long Beach, CA 90804 | 2015-09-15 |
| 1487059010 | Kenenth K. Lee, D.d.s., Inc. | Preferred Provider Organization | 4755 E. Anaheim St., Long Beach, CA 90804 | 2014-10-24 |
| Find all providers in zip 90804 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649565920 | Morgan E Renner | Ophthalmology | 3816 Woodruff Ave Ste 100, Long Beach, CA 90808-2145 | 2011-06-14 |
| 1891026969 | Eye Treatment Center, An Incorporated Medical Group, Inc | Ophthalmology | 1150 E 4th St, Long Beach Senior Center, Long Beach, CA 90802-1735 | 2010-01-28 |
| 1851620959 | Rmg, Apc | Ophthalmology | 5471 E The Toledo, Long Beach, CA 90803-3953 | 2009-12-18 |
| 1619165446 | Hertzog Eye Associates A Medical Corporation | Ophthalmology | 5094 E Los Coyotes Diagonal, Long Beach, CA 90815-2839 | 2007-10-05 |
| 1053514166 | Houck Eye Care and Refractive Surgery Center, PC | Ophthalmology | 2940 Mount Clair Way, Long Beach, IN 46360-1769 | 2007-06-06 |
| 1396840708 | Bruce A Fastenberg | Ophthalmology | 260 West Broadway, Suite 6f, Long Beach, NY 11561 | 2006-09-13 |
| 1710093083 | Carlos Enrique Martinez | Ophthalmology | 3325 Palo Verde Avenue, Suite 103, Long Beach, CA 90808-4132 | 2006-08-21 |
| 1902837941 | Eyecare Specialists Medical Group | Ophthalmology | 5991 E Spring St, Long Beach, CA 90808-3752 | 2006-07-06 |
| 1508897893 | H L Sulit Medical Professional Corp | Ophthalmology | 825 Pacific Ave, Long Beach, CA 90813-4225 | 2006-07-05 |
| 1104827591 | Herbert C Henken | Ophthalmology | 511 E Park Ave, Long Beach, NY 11561-3741 | 2005-08-09 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90804 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.